Individual
CLARENCE R ALEXANDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CHEVES ST, STE 310, FLORENCE, SC 29506-2652
(843) 679-7272
(843) 679-7215
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 679-7272
(843) 679-7215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16218
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202935692007
BLUE CROSS ID NO.
SC
01
—
247170098
WRK. COMP. ID NO.
SC
05
—
T10011
—
SC
Enumeration date
02/09/2006
Last updated
02/08/2021
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